Advanced Spine Endoscopy and Pain Institute

Organization Active NPI Durable Medical Equipment & Medical Supplies · Frederick, MD

NPI 1477020402 · NPPES record last updated Oct 29, 2018

Key facts

NPI
1477020402
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADVANCED SPINE ENDOSCOPY AND PAIN INSTITUTE
Practice address
915 Toll House Ave Ste 207
Frederick, MD 21701-5901
Phone
(240) 367-9601
NPI assigned
Oct 29, 2018
Organization subpart
No

Authorized official

Name
Shaunna Davies
Title
Manager
Phone
(240) 367-9601

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

915 Toll House Ave Ste 207
Frederick, MD 21701-5901

Mailing address

915 Toll House Ave Ste 207
Frederick, MD 21701-5901
Phone (240) 367-9601

Other identifiers

IdentifierTypeStateIssuer
600218800MedicaidMD

Other providers in Frederick, MD

All providers in Frederick, MD · Durable Medical Equipment & Medical Supplies in Maryland

Sources for this page

Verify at the official NPI Registry.